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Aid agency CARE International has found that the number of people living on the edge of emergency has rocketed to 220 million - almost twice as many as in 2006.

As world leaders prepare for next week's global summit on tackling poverty, CARE is calling for an overhaul of the system where aid is too late, too short-term and focused too heavily on saving lives rather than protecting people's livelihoods and building their resilience.

CARE International, one of the three biggest aid agencies worldwide, says failure to resolve the underlying issues trapping people in extreme poverty has left millions unable to cope with recent price hikes. Among the worst hit are Ethiopia and Somalia, currently facing full-blown emergency. Across the world, the poorest people are rapidly descending into food crisis.

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